Background
There is national guidance for provision of PRM services in tertiary UK hospitals. However, no such guidance exists for district general hospitals (DGHs). We aimed to explore if there are any disparities in the provision of PRM services across UK DGHs.

Method
An online survey was conducted (April-December 2020) amongst PRM in DGHs. Information obtained: demographics, workforce, respiratory investigations, clinic and referral pathways.

Results
Level of completed training and composition of the multi-disciplinary team (MDT): 34 responses were received, of whom 16 (47%) completed the PRM special interest module, 8 (24%) completed PRM subspecialty training, and 10 (29%) had no specific PRM training.

Over 25 (74%) respondents have respiratory nurse specialists and physiotherapists in their multi-disciplinary team (MDT). Less than 19 (56%) respondents have psychologists and allied health professionals in their MDT.

There is a variation between DGHs for the types of respiratory conditions that are managed locally or shared care with a tertiary centre from less than a third to nearly 100%. Referral pathways for tertiary care exist for certain conditions.

There is a similar variability in availability of various respiratory investigations in DGHs.

Conclusions
There is a variability in the level of completed training, MDT composition, conditions managed, investigations available and established referral pathways. The challenges in providing adequate respiratory care vary from the MDT to accessing respiratory investigations. Further evaluation is required to establish the reasons for differences in DGH PRM services and identify the expected standard of care.